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Drug interactions

Fedratinib + Theophylline

Severity: Minor

Fedratinib and Theophylline: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Fedratinib inhibits CYP3A4, and also CYP2C19 and CYP2D6, which may raise levels of substrates. Theophylline is mainly cleared by CYP1A2, so the effect is expected to be modest.

What this interaction means in plain words

Fedratinib and Theophylline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Fedratinib belongs to Oncology; Theophylline belongs to Respiratory.

Evidence level: Low

Why it happens

CYP3A4 inhibition by fedratinib reduces a minor theophylline pathway.

What to do

Monitor theophylline levels and for toxicity when fedratinib is started.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Fedratinib with Theophylline?

MediHelp rates the interaction as minor. Fedratinib and Theophylline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fedratinib inhibits CYP3A4, and also CYP2C19 and CYP2D6, which may raise levels of substrates. Theophylline is mainly cleared by CYP1A2, so the effect is expected to be modest.

How serious is the interaction between Fedratinib and Theophylline?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor theophylline levels and for toxicity when fedratinib is started.

What other medicines interact with Theophylline?

MediHelp also lists interactions of Theophylline with, for example, Riociguat, Adenosine, Apalutamide. The full list is on the Theophylline page.

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